1.Easy
Which of these is an open question?
- A"How are you feeling about your operation?"
- B"Are you in any pain at the moment?"
- C"Have you taken your tablets?"
- D"Did you sleep well in the ward last night?"
2.Easy
A "sublingual" medicine is given:
- AThrough the nose
- BUnder the tongue
- CBetween the cheek and gum
- DInto the vein
3.Easy
Which group of findings suggests fluid overload?
- AWeight loss, sunken eyes and a dry mouth
- BLow jugular venous pressure and cool skin
- CDry mouth, thirst, dark urine and a rapid weak pulse
- DSwollen ankles, breathlessness, lung crackles and weight gain
4.Medium
Which lifestyle advice helps a patient with gastro-oesophageal reflux disease?
- AAvoid large meals late in the evening and raise the head of the bed
- BLie down straight after each meal to let the food settle
- CEat one very large meal a day rather than several small ones
- DWear tight belts to support the stomach
5.Medium
Why is oxygen often humidified for a patient with a tracheostomy?
- AThe tube bypasses the nose, which normally warms and moistens air
- BHumidification lowers the oxygen concentration to a safer level
- CHumidity is needed for the oxygen to work as a drug
- DDry oxygen causes high blood glucose
6.Medium
An older patient is at high risk of falls on the ward. Which nursing action is most appropriate?
- AUse bed rails for every patient automatically
- BKeep the call bell and belongings within reach and review medicines that cause drowsiness
- CRestrict the patient to bed at all times
- DRemove the patient's glasses to prevent breakage
7.Hard
In a patient with a head injury, which is usually the earliest sign of rising intracranial pressure?
- AA change in level of consciousness
- BA fixed, dilated pupil on both sides
- CIrregular breathing pauses
- DA slow pulse with high blood pressure
8.Hard
An older patient has fallen several times since starting a new medicine. Which drug group is most likely to contribute?
- ABenzodiazepine sleeping tablets
- BLubricating eye drops
- CVitamin D supplements
- DEmollient creams applied to the legs
Answer key
- 1. A · "How are you feeling about your operation?"
- 2. B · Under the tongue
- 3. D · Swollen ankles, breathlessness, lung crackles and weight gain
- 4. A · Avoid large meals late in the evening and raise the head of the bed
- 5. A · The tube bypasses the nose, which normally warms and moistens air
- 6. B · Keep the call bell and belongings within reach and review medicines that cause drowsiness
- 7. A · A change in level of consciousness
- 8. A · Benzodiazepine sleeping tablets
Full step-by-step solutions: practise this topic on examproblems.com.